Yalice Mariely Cardona, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2802 Issued in PR

Practice address

Carr #2 KM 96.8
Bo Cocos
Quebradillas, PR 00678

Phone

(787) 552-2631

NPI assigned

Feb 12, 2008

Last updated

Nov 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infinity Dental Care PSG

  • Dental Clinic/Center
  • Quebradilla, PR
  • NPI 1962839894
  NPD (past) Authorized official
• Kreative Dental Care PA

  • Dental Clinic/Center
  • Polk City, FL
  • NPI 1861967333
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1336317353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CALLE GEORGETTI",
            "address_2": "APT 10",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745293",
            "telephone_number": "787-552-2631",
            "fax_number": "787-883-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 96.8",
            "address_2": "BO COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-552-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "YALICE",
        "middle_name": "MARIELY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Migdonio Camacho, M.D.
• Gydna Cancel Roman
• Cristine Marie Candelaria Viera, DC
• Tatiana E Cardona Matias, LCDA
• Marangely Cardona Rosado
• Caribbean Ultrasound LLC
• Carlos N Vangas Perez (Vangas Ambulance Service)
• Carlos Ruiz (San Rafael Ambulance Service)
• Centro de Cuidado Visual
• Centro de Medicina Familiar Dr Roberto Zamot Lourido Inc

• General Practice Dentistry in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.